Organization Active NPI

Grace and Mercy Special Transportation

  • Non-emergency Medical Transport (VAN)
  • Charlotte, NC
National Provider Identifier
1033346804
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GRACE AND MERCY SPECIAL TRANSPORTATION
Practice address
5736 Henderson Oaks Dr
Charlotte, NC 28269-1819
Phone
(704) 713-6075
Fax
(704) 333-2886
NPI assigned
Jun 18, 2009
Last updated
Jun 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Lewis Fuller
Title
Vice President
Phone
(704) 713-6075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

5736 Henderson Oaks Dr
Charlotte, NC 28269-1819

Mailing address

5736 Henderson Oaks Dr
Charlotte, NC 28269-1819
Phone (704) 713-6075

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1033346804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5736 HENDERSON OAKS DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691819",
            "telephone_number": "704-713-6075",
            "fax_number": "704-333-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 HENDERSON OAKS DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691819",
            "telephone_number": "704-713-6075",
            "fax_number": "704-333-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE AND MERCY SPECIAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "VICE  PRESIDENT",
        "authorized_official_telephone_number": "704-713-6075"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.